التفاصيل البيبلوغرافية
| العنوان: |
Percutaneous brachial artery access for coronary artery procedures: Feasible and safe in the current era. |
| المؤلفون: |
Parviz, Yasir1 dr1yasir@hotmail.com, Rowe, Rebecca1,2, Vijayan, Sethumadhavan2, Iqbal, Javaid1,2, Morton, Allison C.1, Grech, Ever D.1, Hall, Ian1, Gunn, Julian1,2 |
| المصدر: |
Cardiovascular Revascularization Medicine. Dec2015, Vol. 16 Issue 8, p447-449. 3p. |
| مصطلحات موضوعية: |
*BRACHIAL artery, *ARTERIAL catheterization, *VASCULAR diseases, *FEASIBILITY studies, *CORONARY artery physiology, *PHYSIOLOGY, *CORONARY circulation, *CORONARY heart disease treatment, *CARDIOVASCULAR system, *COMPARATIVE studies, *CORONARY disease, *INTRAVENOUS catheterization, *LONGITUDINAL method, *RESEARCH methodology, *MEDICAL care, *MEDICAL cooperation, *MYOCARDIAL revascularization, *PATIENT safety, *RESEARCH, *RISK assessment, *SURVIVAL, *TRANSLUMINAL angioplasty, *PILOT projects, *EVALUATION research, *TREATMENT effectiveness, *RETROSPECTIVE studies, *HOSPITAL mortality, *CORONARY angiography |
| مصطلحات جغرافية: |
UNITED Kingdom |
| مستخلص: |
Background: Percutaneous vascular access for coronary intervention is currently achieved predominately via the radial route, the femoral route acting as a backup. Percutaneous trans-brachial access is no longer commonly used due to concerns about vascular complications. This study aimed to investigate the safety and feasibility of percutaneous brachial access when femoral and radial access was not possible.Methods: This is a retrospective data analysis of patients who attended a single tertiary cardiology centre in the UK between 2005 and 2014 and had a coronary intervention (coronary angiogram or PCI) via the brachial route. The primary endpoints were procedural success and the occurrence of vascular complications.Results: During the study period 26602 patients had a procedure (15655 underwent PCI and 10947 diagnostic angiography). Of these, 117 (0.44% of total) had their procedure performed via the brachial route. The procedure was successful in 96% (112/117) of cases. 13 (11%) patients experienced post procedural complications, of which 2 (1.7%) were serious. There were no deaths.Conclusion: Percutaneous trans-brachial arterial access is feasible with a high success rate and without evidence of high complication rate in a rare group of patients in whom femoral or sometimes radial attempts have failed. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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